医学
侵入性外科
质量管理
外科
质量(理念)
患者安全
医疗保健
运营管理
经济增长
认识论
哲学
经济
管理制度
作者
Susan Khalil,K. Kossl,Sara Pasik,Michael Brodman,Charles Ascher‐Walsh
标识
DOI:10.1097/gco.0000000000000716
摘要
Purpose of review Quality improvement and patient safety are relevant to the advancement of clinical care, particularly in the field of minimally invasive gynecologic surgery (MIGS). Although safety and feasibility of MIGS have been established, identification of quality metrics in this field is also necessary. Recent findings Surgical quality improvement has focused on national overarching measures to reduce mortality, surgical site infections (SSIs), and complications. Quality improvement in minimally invasive surgery has additionally led to advancements in postoperative patient recovery and long-term outcomes. Process measures in minimally invasive surgery include use of bundles and enhanced recovery after surgery (ERAS) programs. However, procedure-specific quality metrics for MIGS outcomes are poorly defined at this time. Summary Quality metrics in minimally invasive gynecology are well defined for structural measures and select process measures. Creation of relevant benchmarks for outcome measures in minimally invasive gynecologic surgery are needed.
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